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The relationship between seizure self-efficacy and quality of life in children with epilepsy
1Konya Meram State Hospital, Pediatric Clinic, Konya, Turkey.
Insights
High seizure self-efficacy in children with epilepsy is linked to better quality of life. This study highlights the importance of self-efficacy for improving health outcomes in pediatric epilepsy patients.
Area of Science:
- Pediatric Neurology
- Epilepsy Research
- Quality of Life Studies
Background:
- Epilepsy significantly impacts children's quality of life.
- Self-efficacy, the belief in one's ability to manage seizures, is a crucial factor.
- Understanding the relationship between seizure self-efficacy and quality of life is vital for effective management.
Purpose of the Study:
- To investigate seizure self-efficacy in children with epilepsy.
- To assess the quality of life in children with epilepsy.
- To determine the correlation between seizure self-efficacy and quality of life in this population.
Main Methods:
- A cross-sectional study involving 200 children (aged 9-14) with epilepsy.
- Data collection using validated instruments: Child Descriptive Form, Seizure Self-Efficacy Scale, and KIDSCREEN-27.
- Statistical analysis included correlation and regression analyses to evaluate relationships.
Main Results:
- A significant positive correlation was found between seizure self-efficacy and overall quality of life.
- Specific dimensions of quality of life, including physical and emotional well-being, social support, and peer relationships, were positively associated with higher self-efficacy.
- Environmental factors influencing seizure control also showed a positive correlation with quality of life dimensions.
Conclusions:
- Elevated levels of seizure self-efficacy are associated with an improved quality of life in children with epilepsy.
- Interventions aimed at enhancing self-efficacy may positively impact the overall well-being of children with epilepsy.
- This research underscores the psychological and social dimensions of managing childhood epilepsy.
Aim:
This study aimed to examine seizure self-efficacy and quality of life of children with epilepsy and to evaluate the relationship between these parameters.
Method:
The study was conducted between November 2022 and November 2023 in the Pediatric Neurology Outpatient Clinic of a university hospital with 200 children aged 9-14 who met the inclusion criteria and accepted the study. The data were collected using the "Child Descriptive Form," "Seizure Self-Efficacy Scale in Children with Epilepsy," and "KIDSCREEN-27 Health-Related Quality of Life Scale". The data were evaluated using the IBM SPSS Statistics Standard Concurrent User V 26 statistical package program. Number, percentage, mean-standard deviation, median, minimum and maximum values, Cronbach's Alpha coefficient, Shapiro Wilk normality test, Independent Sample t-test, Analysis of Variance (ANOVA), Bonferroni test, Pearson correlation coefficient, linear regression analysis, Durbin-Watson value and normality of residuals Q-Q graphs were used in the evaluation of the data. A value of p < 0.05 was considered statistically significant.
Results:
It was determined that 53 % of the children participating in the study were male, and the median age was 12 years. The mean total score of the seizure self-efficacy scale was 3.13 ± 1.03, and the mean total score of the health-related quality of life scale was 89.83 ± 15.63. There was a statistically significant positive correlation between the dimension of individual seizure control and total score of health-related quality of life and physical well-being, emotional well-being and social support, and peer dimensions (p < 0.05). A statistically significant positive correlation was determined between the effect of environment on seizure control and health-related quality of life total score, physical well-being, social support, and peer and school environment dimensions (p < 0.05). A statistically significant positive correlation was determined between seizure self-efficacy total score and health-related quality of life total score and physical well-being, emotional well-being, social support, and peer dimensions (p < 0.05).
Conclusion:
The study results reveal that high self-efficacy levels of children with epilepsy improve the quality of life of children with epilepsy.
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